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PACIFIC PODIATRY GROUP, PS

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Company Details

Legal Name: PACIFIC PODIATRY GROUP, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 29th 1986
Expiration date: 31 Aug 2025
UBI Number: 600 637 306
ZIP code: 98408
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7808 PACIFIC AVE, SUITE 1, TACOMA, WA, 98408-7039, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $45,300

Contact Details

E-Mail: DKNUTSON@PACPODGROUP.COM
Phone Number: +1 253-473-5566

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DAVIES PEARCON PC Registered Agent 1498 PACIFIC AVE, SUITE 520, TACOMA, WA, 98402-4208, UNITED STATES

Key Officers & Management

Name Role
GENE KNUTSON Governing Person
NICHOLAS HEATH Governing Person
REBECCA BRICKMAN Governing Person

Unique Entity ID

Unique Entity ID:
YD4BF5GNAQM7
CAGE Code:
78TG0
UEI Expiration Date:
2025-04-18

Business Information

Activation Date:
2024-04-22
Initial Registration Date:
2022-08-16

Commercial and government entity program

CAGE number:
78TG0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-18
CAGE Expiration:
2029-05-22
SAM Expiration:
2025-04-18

Contact Information

POC:
DEBBIE KNUTSON

National Provider Identifier

NPI Number:
1235165549

Authorized Person:

Name:
DR. STEPHEN M FUSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
2538820988
Fax:
2534736436
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